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General NPI Number Information
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NPI Number | 1053039594
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Entity Type | Individual
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Provider Name | SHIKHABEN PATEL PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 1529 PIEDMONT AVE NE STE C
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City | ATLANTA
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State | GA
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Zip | 30324-5000
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Country | US
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Telephone | 404-461-7994
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Fax |
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Provider Business Mailing Address
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Address Line | 1468 BRIARWOOD RD NE UNIT 511
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City | BROOKHAVEN
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State | GA
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Zip | 30319-5737
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Country | US
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Telephone | 260-307-3183
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH033531
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License Number State | GA
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